Work From Home Call Center Representative
About The Position
This is an entry-level position where you will acquire the skillset and knowledge of PBM and mail order resources within their respective platforms to effectively answer and document member-related inquiries, complete eligibility updates, and service member and client requests accurately and efficiently. You will work under direct supervision, following standard procedures and best practices to accomplish assigned tasks, undergoing job training, assisting staff members to complete daily duties, and working towards answering incoming and making outbound calls independently. You will also provide support as needed to peers, leaders, and other ProAct administrative resources.
Requirements
- Must be available and on time for scheduled work shifts.
- Exceptional phone and listening skills.
- Exceptional written and verbal communication skills.
- HIPAA Privacy Course training.
- HIPAA Security Course training.
Nice To Haves
- High School Diploma or GED, or equivalent experience.
- 0-2 years experience as Rx Technician or Customer Service Representative in a health care related service.
- Preferred PC skills including Microsoft Office.
Responsibilities
- Provide Help Desk phone coverage for incoming calls, outbound calls, and directing incoming calls to appropriate staff members.
- Understand, master, and gain efficiency in systems leveraged by the Help Desk.
- Provide Help Desk resolution of customer service issues to ensure complete client satisfaction.
- Provide Help Desk resolution of Pharmacy Network problems to ensure complete client satisfaction.
- Assist with and adopt readiness for the startup of new clients, including new group enrollments, changes, and deletions.
- Assist with on-site client orientation, health fairs, and business conferences as needed.
- Assist with on-site resolution of customer service issues to clients as needed.
- Perform office duties as needed (includes copying, collating, mailings, filing, credit cards).
- Responsible for completing all mandatory and regulatory training programs.
- Perform other duties as assigned.
Benefits
- Drug test
- Initial and continuous exclusion and sanction/disciplinary monitoring
- Any and all additional eligibility requirements based on the specific position
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
